Cataracts are a clouding of the natural lens of your eye which in turn interferes with your ability to see similar to the fogging of the car windshield while driving preventing you from seeing the road. Removal of the cataract essentially “lifts the fog” analogous to the defroster clearing the windshield of your car. Cataract surgery removes the clouded lens and an artificial lens is then inserted to replace the eyes natural lens. The cataract surgeons of the Medical Eye Center will remove the clouded lens with a small incision (less than 1/8th of an inch) either by phacoemulsification (ultrasound) or by the new laser assisted cataract surgery known as LensX. After the cataract is removed a small plastic intraocular lens will be inserted into the physiologic position previously occupied by your natural lens. Often you will have less need for glasses than you did prior to your developing the cataract. The Medical Eye Center physicians will guide you through the entire process from “do I need cataract surgery?” to deciding between phacoemulsification and LensX to guiding you to the type of intraocular lens is best for you and being with you during the post-operative period.
Glaucoma, the third leading cause of blindness in the United States is generally treated medically with eye drops. These medications either lower the pressure within the eye by decreasing the production of fluid within the eye or facilitating the outflow of fluid from the eye. The physicians of the Medical Eye Center follow the philosophy of medicine before surgery and “don’t fix it if it’s not broken”. If medical treatment of your glaucoma is not sufficient based upon either the intraocular pressure, the appearance of your optic nerve or the computerized laser scan of your optic disc or the visual field examination glaucoma laser surgery will be advised. The laser treatment known as Selective Laser Trabeculoplasty will be performed in our Columbia facility if your glaucoma has reached the level where medical management alone is no longer sufficient to stop the progression of your glaucoma.
Retinal Laser Surgery
Lasers will focus light of a specific wavelength on to the surface of the retina for a fraction of a second. The physicians of the Medical Eye Center use retinal lasers to treat diabetic retinopathy and seal retinal tears to attempt to prevent a retinal detachment.
Type 1 and Type 2 diabetic patients may develop incompetent small vessels in the back of the eye that leak fluid producing macula edema or swelling. Also due to poor circulation they may develop abnormal vessels in the back of the eye on the retina or in the front of the eye on the iris which may lead to a major bleed or an increase in eye pressure. During our comprehensive examination of your eye we would be able to determine if any of these conditions exist. These conditions must be treated and we can accomplish this for you at our Columbia facility using the Argon laser.
Flashing lights and an increase in grayish floaters obscuring your vision may indicated that the gel of the eye (the vitreous) is pulling on the thin film lining the back of your eye (the retina). The traction of the vitreous gel on the retina may tear this thin film creating an opening through which fluid may separate the retina from the back of the eye leading to a retinal detachment. Proactive treatment of a retinal tear with the laser will hopefully prevent the surgical repair needed if the retina detaches. If our patients develop a retinal tear the physicians of the Medical Eye Center will apply laser retinopexy at our Columbia facility.
LASIK Eye Surgery
LASIK, an acronym for ‘laser-assisted in situ keratomileusis”, is the laser surgery that corrects near and farsightedness. Dr. Lui, our University of Rochester fellowship trained corneal specialist has been performing LASIK since its inception in the United States in the early 1990’s. He utilizes the Johns Hopkins Greenspring Station facility to perform his refractive surgery. At your LASIK evaluation he will determine if your eyes are healthy enough for this procedure, use wavefront technology to precisely map your cornea, and then determine the ideal refractive procedure for you. He will be with you before the surgery, do the laser surgery, and then follow you for months afterwards; he will be there for you.
Ophthalmic Plastic & Reconstructive Eyelid Surgery
The eyelid is important in protecting the eye. Aging and stretching changes may cause the eyelids to sag or assume an abnormal position which can compromise the health of the eye. Eyelid disorders may further impair vision and may require surgery to restore vision and eye health. The treatment required is often medically necessary, but may be considered cosmetic.
Ptosis refers to drooping of the eyelid and brow, a condition that may impair the upper visual field as the eyelid and brow descend over the eye. Although aging is the most common cause of ptosis, it may occur due to a variety of underlying conditions. After thorough evaluation and treatment of any underlying causes, surgery may be necessary for medical or cosmetic reasons. Ptosis repair (“lid lift”) or brow lift may improve vision, as well as restore a more refreshed look.
When redundant eyelid tissue and excess fat are present, it may overhang into the visual axis and cause impairment of your visual field. A blepharoplasty removes the excess tissue, thereby improving vision and restoring a more youthful look at the same time.
Due to a variety of reasons, the lower eyelids may turn away from the eye it is supposed to protect. This can reduce vision and compromise eye health, leading to chronic infections and inflammation. Ectropion repair is a procedure that restores the eyelid to its correct position.
Due to a variety of reasons, the eyelids may roll toward the eye, which is known as entropion. This can reduce vision and compromise eye health, due to inturned lashes rubbing on the ocular surface. Entropion repair is a procedure that restores the eyelid to its correct position.
Lumps and bumps of the eyelid can be harmful or benign. A thorough evaluation and biopsy of any suspicious lesions are necessary to rule out eyelid cancer.